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Donald P. Kotler, MD

Donald P. Kotler, MD

Columbia University<

Professor of Medicine
Columbia University
New York, New York

131 Steuart St, Suite 500, San Francisco, CA 94105

Phone: (415) 544-9400 | info@iasusa.org

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Practice Question of the Week

May 23, 2022: Treating Depression in People With HIV

A 38-year-old man diagnosed with HIV comes to the office expressing passive suicidal ideation. During the past 6 weeks, he has experienced fatigue, loss of interest in usual activities, a 7-kg (15-lb) weight loss, and insomnia. He is diagnosed with a major depressive episode. Which of the following is NOT true regarding his depression treatment?
- A. Beginning a low dose of antidepressant reduces the risk of adverse effects
- B. Escalating the dose of an antidepressant medication should be avoided
- C. Accepting treatment with antidepressants is associated with greater adherence to antiretroviral medications
- D. More than one antidepressant trial may be needed to achieve remission from depression

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